Provider Education Support

• Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

• The Provider Education Support is responsible for running reports and, when instructed, identifying changes in coding and documentation trends. Under the direction of the Director, Provider Education, the Provider Education Support will evaluate medical records for documentation deficiencies and potential missed charges. Findings will be recorded, tracked, and reported to the Director or Senior Education Specialist. This is not a client or patient-facing/interacting position.

• Create reports; routine monthly provider reports and special requests.
• Perform record reviews to identify documentation deficiencies or missed charges.
• Perform record reviews to address HM concurrency denials related to diagnosis coding.
• Support the Provider Education Specialists, Senior Provider Education Specialists, and Director with special projects.
• Maintain white paper library.  
• Retrieve documents from client’s systems for audit projects.  
• Review documentation within anesthesia records to locate deficiencies, to include incidents, in clients to determine educational guidance that will be created for client.
• Create educational content for clients based on coding and billing guidelines.
• Perform compliance and coding audits to ensure accuracy within claim submission.
• Assist with completion of quarterly audits to include review of documentation to support billing standards and creation of content for discussion with clients.
• Perform continuous review of documentation received from newly onboarded clients/facilities within first 30 days.  Generate educational guidance based on audit findings.
• Other duties as assigned by the Director, Senior Director of Provider Education, or Senior Provider Education Specialists.

• Certified Professional Coder (CPC) or equivalent required.
• At least four (4) years of coding experience and two (2) years of auditing experience.
• Degree in Healthcare Administration, Health Information Management, or related field or equivalent experience/training preferred.

• Knowledge of requirements of medical record documentation.
• knowledge of medical terminology and anatomy.
• Strong oral, written, and interpersonal communication skills.
• Strong decision-making skills.
• Strong problem-solving skills.
• Strong organizational skills.
• Strong time management skills.
• Ability to initiate and maintain professional relationships.
• Ability to take initiative and effectively troubleshoot while focusing on innovative solutions.
• Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately.
• Ability to remain flexible and work within a collaborative and fast paced environment.
• Ability to communicate with diverse personalities in a tactful, mature, and professional manner.

Equal Employment Opportunity (Applicable only in the US)

Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.

Recruitment Agencies

Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.

Solicitation of Payment

Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.

Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.

To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.